Jiménez Murcia, SusanaAgüera, ZaidaPaslakis, GeorgiosMunguia, LuceroGranero, RoserSánchez González, JéssicaSánchez, IsabelRiesco, NadineGearhardt, Ashley N.Diéguez González, CarlosFazia, GildaSegura García, CristinaBaenas, IsabelMenchón, José M.Fernández Aranda, Fernando2020-10-302020-10-302019Jiménez-Murcia, S.; Agüera, Z.; Paslakis, G.; Munguia, L.; Granero, R.; Sánchez-González, J.; Sánchez, I.; Riesco, N.; Gearhardt, A.N.; Dieguez, C.; Fazia, G.; Segura-García, C.; Baenas, I.; Menchón, J.M.; Fernández-Aranda, F. Food Addiction in Eating Disorders and Obesity: Analysis of Clusters and Implications for Treatment. Nutrients 2019, 11, 2633.http://hdl.handle.net/10347/23512Food addiction (FA) has been associated with greater psychopathology in individuals with eating disorders (ED) and obesity (OBE). The current study aims to provide a better phenotypic characterization of the FA construct by conducting a clustering analysis of FA in both conditions (ED and OBE). The total sample was comprised of 234 participants that scored positive on the Yale Food Addiction Scale 2.0. (YFAS-2) (119 bulimia nervosa (BN), 50 binge eating disorder (BED), 49 other specified feeding or eating disorder (OSFED) and 16 OBE). All participants completed a comprehensive battery of questionnaires. Three clusters of FA participants were identified. Cluster 1 (dysfunctional) was characterized by the highest prevalence of OSFED and BN, the highest ED severity and psychopathology, and more dysfunctional personality traits. Cluster 2 (moderate) showed a high prevalence of BN and BED and moderate levels of ED psychopathology. Finally, cluster 3 (adaptive) was characterized by a high prevalence of OBE and BED, low levels of ED psychopathology, and more functional personality traits. In conclusion, this study identified three distinct clusters of ED-OBE patients with FA and provides some insight into a better phenotypic characterization of the FA construct when considering psychopathology, personality and ED pathology. Future studies should address whether these three food addiction categories are indicative of therapy outcomeeng© 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/)Atribución 4.0 Internacionalhttp://creativecommons.org/licenses/by/4.0/Food addictionEating disordersBulimia nervosaBinge eating disordersObesityOther specified feeding or eating disordersCluster analysisjournal article10.3390/nu111126332072-6643open access